<div style="float:left; width:100%;">
<div style="float:right; border:1px solid #ccc; padding:5px; width:220px; height: auto; text-align:center; overflow:hidden;"><%= image_tag "msg_fillup.jpg", :size => "220x111", :alt=>'img' %></div>

       <table class="answer_name" style="float:left; width:400px; padding:0; margin:0;">
		<tr>
			<th style='float:left;'><%=t('question.enter_opt')%> </th>
			<th></th>
		</tr>		
				
        </table>
		<table class="answer_name" style="float:left; width:400px; padding:0; margin:0;">
               <tr class="editor_last"><td>
				<% 1.upto(1) do |i| %>
				  <%= text_area_tag "fields[#{i}][name]",'', :class=>"validate[required,funcCall[checkHELLO]] text-input blankCount options",:style=>"width:115px; height:19px; border:#d1d1d1 1px solid;" %>
				<% end %>
				</td></tr> 
	   </table>
	
		<div style="margin-bottom:10px; float:left; width:400px;" >
			<%=link_to image_tag("plus.jpg", :alt=>"Add Option"),"#", :id=>"add_new_blank", :style => "width:auto;"%><br><br>
		</div>
		
</div>